The URL can be used to link to this page

Home My WebLink About1480 REGATTA RD; ; CB152642; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-31-2015 Pool Perm it Permit No: CB 152642 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1480 REGATTA RD CBAD POOL Status: Parcel No: 2150740400 Lot#: 0 Applied: Valuation: $5,281.00 Construction Type: NEW Entered By: Reference #: PC#: Project Title: Applicant: KC CONSTRUCTION HEALY:64 SF SPA, 288 SF DETACH PATIO, GAS TO FIRE PIT AND BBQ 419 HIDDEN HILLS LN ESCONDIDO CA 92029 760-815-5508 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Electrical Fee Plumbing Fee Strong Motion Fee Green Bldg Standards (SB1473) Fee Renewal Fee Add'I Renewal Fee Other Building Fee Additional Fees TOTAL PERMIT FEES Plan Approved: Issued: Inspect Area: Owner: HEALY JOHN&MICHELE 1480 REGATTA RD CARLSBAD CA 92011 ISSUED 08/17/2015 SLE 08/31/2015 08/31/2015 $78.91 $0.00 $55.24 $0.00 $33.00 $33.00 $1.00 $1.00 $0.00 $0.00 $0.00 $0.00 $202.15 Total Fees: $202.15 Total Payments To Date: $202. 15 Balance Due: Inspector: Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the dale this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack., review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any I City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-31-2015 Storm Water Pollution Prevention Plan (SWPPP) Permit Permit No:SW150319 Job Address: Permit Type: Parcel No: Reference #: CB#: Project Title: Applicant: KC CONSTRUCTION 1480 REGATTA RD CBAD SWPPP 2150740400 HEALY: 64 SF SPA 419 HIDDEN HILLS LN ESCONDIDO CA 92029 760-815-5508 Emergency Contact: ZAK KROEPEL 760-815-5508 SWPPP Plan Check SWPPP Inspections Additional Fees TOTAL PERMIT FEES Status: Lot#: 0 Applied: Entered By: Issued: Inspect Area: Owner: HEALY JOHN&MICHELE 1480 REGATTA RD CARLSBAD CA 92011 Tier: Priority: ISSUED 08/17/2015 SLE 08/31/2015 1 L $48.00 $58.00 $0.00 $106.00 Total Fees: $106.00 Total Payments To Date: $106.00 Balance Due: FINAL .APPROVAL DATE(/''-(~--__________ ,.. SIGNATURE $0.00 THE FqLLOWING,APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH □HAZMAT/APCD r" ~Ci~of Building Permit Application Plan Check No.c.f!:) I~ 2..-lo 4 2. 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit Carlsbad email: building@carlsbadca.gov www.carlsbadca.gov Date ,<,-17-1<:. lswPPP lhl'\3(9 JOBAODRESSJ4~0 T<rc.mA ~4 SUITEI/SPACEI/UNITf IAPN -<'.)74-0-"\ ) '2\'5 -ob CT/PROJECT# ILOT# PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME ICONSTR. TYPE I occ. GROUP -~-·~~:~·~·s;•rec~·:r~~•J ,: Jt14 U\0)) Bi110 C&ve-1( (;l-~<:tilyD ilAlj__.f fO c..,,ry Sl'Cc.5 GAS i3vi-uv 1,-ICi ~,Jtf Pt1 ~ ~AS a. Su:c. 10 Bw1LT lJv' BBCxl EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE 1 IAIR CONDITIONING I FIRE SPRINKLERS YES[)t N<O v,s □NoO YESONoO APPllCANT NAME L'4 \C Primary Contact '£,".,.. . tz.d~~ L PROPERTY OWNER NA:tE }.I ·c;i O.Lf'Y ~ ~;..,. / (/11.Y ADDRESS H LJIM-ADDRESS 4\<'i l,11-,:""' 1 )IH IY8L1 RcuA1T~ MD CITY 1::"sev;,,.1))011 STA"2.A "q~a, CITY UJ21,.~R~D STATE CJ, ZIP q~0/1 PHONE "7r£J ~,~ sm IFAX PHONE 71,(J b~~ c1'-jb\./ IFAX EMAIL -u"d) t-l'W0PEL.. I"' El EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME \CC 0-'Jr1t.y c.,111,-; ADDRESS ADDRESS l--111 L-f10 Hi tilCt-' W lt,-L <, tv 1 CITY STATE ZIP CITY (sr ,A.II\ 1 NJ STAU "q~e, PHONE IFAX PHONE ~/.?\ 7t-rJ <?1 c Sc, IFAX EMAIL EMAi~~ t!2-t.10Pfl ./"'ff \Z&9'2> IC\ I STATE LIC. # STAT%'37 g-(?Cf l°'rk-, j c1Rus. uc.# \.P nl n ...-in, 1 (Sec. 7031.5 Business and P_rofess1ons Code: Any City or Coun_ty which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also retiuires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the contractor's License Law {Chapter 9, commending with Section 7000 of Division 3 of the B_usiness and Professions Code} or {hat he Is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subJects the applicant to a civil penalty of not more than five hundred dollars {$500)). WORKERS' COMPENSATION Worken' Compensation Declaration: / hereby affirm under penally of petjuf)' one of the following declarations: □ I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the labor Code, for the performance of the work for which this permit is issued. L):11 have and wlll maintain w~7• compensation, as reQuired by Section 3700 of the labor Code, for the performance of the work for whlCh this permit is issued. My workers' compensation insurance carrier and p:ilicy n,mberara: Insurance eo,12£,-.,0, M Jg:)('.. Pol<y No. cs 1 Sa?"-I 6 S "•ration Dale _?f__,_ul /_,l~k~---- ~section need not be completed if the permit is for one hundred dollars ($1 or less LJ Certificate of Exemption: I certify that in the performance of the work r ich this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California WARNING: Failure to secure workers' compensation cove ge I unlawful, and shall subject an employer to criminal penalties and civil fines up lo one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as rovlded for In Sectl 3 06 of the Labor code, interest and attomey's fees. ~ CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License Law for the following reason: □ □ □ I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's license Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's license Law does not apply to an owner of property who builds or Improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's license law). I am exempt uflder Section ____ ,Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0Yes 0No 2. I (have I have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person {firm) to provide lhe proposed construction (include name address/ phone I contractors' license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address/ phone/ contractors' license number): 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (inciude name I address/ phone I type of work): ~ PROPERTY OWNER SIGNATURE □AGENT DATE I . COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or fisk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Acrt Yes No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air Quality management district? Yes No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Yes No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I certifylhat I have read the application and state that the above 1nfonnati8n Is correct and lhatthe inbmatlon on the plans Is accurate. I agiae ID comply with all City ordinances and State laws relatlng to building construction. I hereby aulhoree re-live of~e City of Carlsbad lo enter upon~ abo., mentioned !'OM !Jr ospeclon purposes. I ALSO AGREE TO SAVE, INDEMNIFY ,v,JD KEEP HARMLESS THE CITY OF CARLSBAD AGAINST AU. LI.ABILITIES, JUDGMENTS, COSTS,v,JD EXPENSES WHICH MAY IN ,v,JY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: NI OSHA permit is requied t>r excavations over 50' deep and demolioon or construction of structures over 3 stiries i'l hefJhl. EXPIRATION: Every pennlt 5Sued by the Building Offk:ial under the prm.;soo f tlis Code shall expire by !imitation and ooo::irre null aid vod Wthe buik:ling or'M'.lrk authorized by such pennit is not oommenood 'Mlhin 180 days from the date of such pennlt or if the D.Jildi'lg or v.ork authoriza:l by pennlt is susJ):lnded or abandoned at any time after the w:irk is rommenood U a period of 180 days {Section 100.4.4 Uniform Building Qxle). _6$ APPLICANT'S SIGNATURE DATE 'r; /17 /1 s STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Dillision f635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Onty) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELMRY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1.) OCCUPANT (Listed above) MAIL/ FAX TO OTHER: _______________ _ ,IS APPLICANT'S SIGNATURE ASSOCIATEDCBf•------------- NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Permit#: CB152642 Type: POOL Date Inspection Item 11/06/2015 19 Final Structural 11/06/2015 59 Final Pool 11/03/2015 55 Fence/Pre-Plaster 10/15/2015 51 Excav/Steel/Bonding/Fence 10/01/2015 51 Excav/Steel/Bonding/Fence 09/09/2015 23 Gas/fesVRepairs 09/09/2015 31 Underground/Conduit-Wirin Friday, March 11, 2016 Inspector Act PD AP PD AP PD AP PD AP PD AP PD AP PD AP HEALY:64SF SPA, 288 SF DETACH PATIO, GAS TO FIRE PIT AND BBQ Comments Page 1 of 1 «~ ~ CITY OF CARLSBAD PLAN CHECK REVIEW TRANSMITTAL DATE: 08/26/2015 PROJECT NAME: HEALY RESIDENTIAL SPA AND FIRE PIT PLAN CHECK NO: 1 SET#: 1 ADDRESS: 1480 REGATTA RD VALUATION/SCOPE OF WORK: SPA AND FIRE PIT Community & Economic Development Department 1635 Faraday Avenue Carlsbad CA 92008 www.carlsbadca.gov PROJECT ID: CB152642 APN: 2150740400 ✓ This plan check review is complete and has been APPROVED by the ENGINEERING Division. By: VALRAY NELSON A Final Inspection by the ENGINEERING Division is required Yes ✓ No This plan check review is NOT COMPLETE. Items missing or incorrect are listed on the attached checklist. Please resubmit amended plans as required. NOTE: ONLY ITEMS THAT NEED CORRECTION/CLARIFICATION ARE MARKED X. Plan Check Comments have been sent to: ZAC@KROEDEL.NET You may also have corrections from one or more of the divisions listed below. Approval from these divisions may be required prior to the issuance of a building permit. Resubmitted plans should include corrections from all divisions. For questions or clarifications on the attached checklist please contact the following reviewer as marked: PLANNING ENGINEERING FIRE PREVENTION 760-602-4610 760-602-2750 760-602-4665 Chris Sexton Kathleen Lawrence Greg Ryan 760-602-4624 760-602-27 41 760-602-4663 ~hris,S~xtQn~c!!rlsbadca.gov Kathl!;l!;ln.Lawrence~carlsbadca.gQv ~regor:i,R:ian~ci'!rll!bagc2.gQv Gina Ruiz Linda Ontiveros Cindy Wong 760-602-4675 760-602-2773 760-602-4662 Ging.Ruiz@carlsbadci'!.gQv Linda.Qntiv~rQs~ci'!rllitl!i!dca.gov C:inthig.WQng@carlsbi'!gca.gQv ✓ ValRay Marshall Dominic Fieri 760-602-2741 760-602-4664 ValRay.Marsha ll@carlsbadca.gov QQminic.Fi!;lri~carll!Qi'!Q!;s!.gQv Remarks: 1 E-37 Any oulsta11ding issues will /Je marked with ,m [J[] Mt1ke the necessary corrections.for compliance witlz applicable codes nnd standards. S11l,111it corrected plans t1nd/or specificatio11s to the B11ildi11g divisiou/or re-s11l1111iltal to the E11gineering divisions. Ite111s thal co11/011n to permit requirements are marked with [{] 1. SITE PLAN Provide a fully dimensioned site plan drawn to scale. Show: ✓ North arrow ✓ Existing & proposed structures ✓ Property line dimensions Easements Show on site plan: X Drainage patterns Existing & proposed slopes Existing topography ✓ Retaining Walls (location and height) ✓ Indicate what will happen with soil excavated from pool area. Include on title sheet: ✓ Site address ✓ Assessor's parcel number ✓ Legal description/lot number Grading: Quantities of Cut Fill Import Export Project does not comply with the following engineering conditions of approval for project no: Conditions were complies with by: LOT NO. 4 MAP NO. 14345 REF . NO. Page 2 of4 Date: REV 6/2012 1 1 2. GRADING PERMIT REQUIREMENTS ALL WORK, EQUIP, & MATERIALS TO REMAIN OUT OF THE RIGHT OF WAY E-37 3. The conditions that require a grading permit are found in Section 11 .06.030 of the Municipal Code. Inadequate information available on site plan to make a determination on grading requirements. Include accurate grading quantities in cubic yards (cut, fill, import, export and remedial). This information must be included on the plans. If no grading is proposed write: "NO GRADING" Grading Permit required. NOTE: The grading perm it must be Issued and rough grading approval obtained prior to issuance of a building permit. A separate grading plan prepared a registered civil engineer must be submitted together with the completed application form attached. ✓ No grading permit required. MISCELLANEOUS PERMITS RIGHT-OF-WAY PERMIT is required to do work in city right-of-way and/or private work adjacent to the public right-of-way. A separate right-of-way issued by the engineering division is required for the following: Please complete attached right-of-way application form and return to the engineering department together with the requirements on the attached right-of-way checklist, at the time of resubmittal. Right-of-way permit and pool permit will be issued simultaneously. Page 3 of 4 REV 6/2012 1 E-37 1 4. STORM WATER Construction Compliance ✓ Project Threat Assessment Form complete ✓ incomplete ✓ Requires Tier 1 Storm Water Pollution Prevention Plan. Please complete attached form and return (SW 15-15-319 ) Requires Tier 2 Storm Water Pollution Prevention Plan. Requires submittal of Tier 2 SWPPP, payment of processing fee and review by city. Post-Development (SUSMP) Compliance ✓ Storm Water Standards Questionnaire complete ✓ incomplete 7 . Project is subject to Standard Storm Water Requirements. See city Standard Urban Storm Water Management Plan (SUSMP) for reference. http://www.carlsbadca.gov/business/building/Documents/EnqStandsw-stds-vol4-ch2.pdf Project needs to incorporate low impact development strategies throughout in one or more of the following ways: Rainwater harvesting (rain barrels or cistern) Vegetated Roof Bio-retentions cell/rain garden Pervious pavemenUpavers Flow-through planter/vegetated or rock drip line Vegetated swales or rock infiltration swales Downspouts disconnect and discharge over landscape Qther: 5. ADDITIONAL COMMENTS Page 4 of 4 REV 612012 , ,_ . «~~ ~ CITY OF CARLSBAD STORM WATER COMPLIANCE ASSESSMENT 8-24 Development Services Building Division 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov I am applying to the City of Carlsbad for the following type(s) of construction permit: ~ Building PJr,it □ Right-of-Way Permit □ My project is categorically EXEMPT from the requirement to prepare a storm water pollution prevention plan (SWPPP) because ii only requires issuance of one or more of the following permit types: Patio/Deck Photo Voltaic Re-Roofing Sign Spa-Factory Sprinkler Electrical Fire Addrtional Fire Alarm Fixed Systems Mechanical Mobile Home Plumbing Water Discharge Project Storm Water Threat Assessment Criteria* No Threat Assessment Criteria □ My project qua mies as NO THREAT and is exempt from the requirement to prepare a storm water pollution prevention plan (SWPPP) because it meets the "no th rear assessment criteria on the City's Project Threat Assessment Worksheet for Determination of Construction SWPPP Tier Level. My project does not meet any of the High, Moderate or Low Threat criteria described below. Tier 1 -Low Threat Assessment Criteria )!J. My project does not meet any of the Significant or Moderate Threat criteria, is not an exempt permit type (See list above) and the project meets one or more of the following criteria: • Results in some so~ disturbance; and/or • Includes outdoor construction activities (such as saw cutting, equipment washing, material stockpiling, vehicle fueling, waste stockpiling). Tier 2 -Moderate Threat Assessment Criteria □ My project does not meet any of the SQnificant Threat assessment Criteria described below and meets one or more of the following criteria: • Project requires a grading plan pursuant to the Carlsbad Grading Ordinance (Chapter 15.16 of the Carlsbad Municipal Code); or, • Project will result in 2,500 square feet or more of soils disturbance including any associated construction staging, stockpiling, pavement removal, equipment storage, refueling and maintenance areas and project meets one or more of the additional following criteria: • Located within 200 feet of an environmentally sensitive area or the Pacific Ocean, and/or • Disturbed area is located on a slope with a grade at or exceeding 5 horizontal to 1 vertical, and/or • Disturbed area is located along or within 30 feet of a storm drain inlet, an open drainage channel or watercourse, and/or • Construction will be initiated during the rainy season or will extend into the rainy season (Oct 1 through April 30). Tier 3 -Significant Threat Assessment Criteria □ My project includes clearing, grading or other disturbances to the ground resulting in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, stockpiling, pavement removal, refueling and maintenance areas: and/or □ My project is part of a phased development plan that will cumulatively result in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, refueling and maintenance areas: or, □ My project is located inside or within 200 feet of an environmentally sensitive area (see City ESA Proximity map) and has a significant potential for contributing pollutants to nearby receiving waters by way of storm water runoff or non-storm water discharge(s). I certify lo the best of my knowledge that the above checked statements are true and correct I understend and acknowledge that even though this project does not require preparation of a construction SWPP, I must still adhere to, and at all times during construction activities for the pennit type(•/ check above comply with the storm water best management practices pursuant to Title 15 of the Carlsbad Municipal Code and to City Standards. Project Address: Assessor Parcel No. •The City Engineer may authorize minor variances from the Stenn Water Threat Assessment Criteria in special circumstances where it can be shown that a lesser or higher Construction SWPPP Tier Level is warranted, B-24 11.1w ~.ffl "j¼,~D Owner/Owf\er's Authorized Agent Name: -2.ir t~KL- City Concurrence: )tves □NO Page 1 of 1 ignature: Date: 8/17/15 Date: Project 10: Rev.03/09 «~'» ~ CITY OF CONSTRUCTION THREAT ASSESSMENT WORKSHEET FOR DETERMINATION OF PROJECT'S PERCEIVED THREAT TO STORM WATER QUALITY E-33 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov CARLSBAD ,. Perceived Construction Threat to SWPPP ner Construction Threat Assessment Criteria* Stonn Water Level Quality Tier 3 -High Construction Threat Assessment Criteria □ Project site is 50 acres or more and grading will occur during the rainy season □ Project site is 1 acre or more in size and is located within the Buena Vista or Agua Hedionda Lagoon watershed, inside or within 200 feet of an environmentally sensitive area (ESA) or discharges directly to an ESA High □ Soil at site is moderately to highly erosive (defined as having a predominance of soils with Tier3 □ USDA-NRCS Erosion factors kt greater than or equal to 0.4) Site slope is 5 to 1 or steeper □ Construction is initialed during the rainy season or will extend into the rainy season (Oct. 1 □ through April 30). Owner/contractor received a Storm Water Notice of Violation within past two years Tier 3 -Megium C2nstrugion Threat Assessment Criteria Medium □ All projects not meeting Tier 3 High Construction Threat Assessment Criteria Tier 2 High Const[!.!ction Threat Assessment Crijeri§ □ Project is located within the Buena Vista or Agua Hedionda Lagoon watershed, inside or within 200 feel of an environmentally sensitive area (ESA) or discharges directiy to an ESA □ Soil at site is moderately to highly erosive (defined as having a predominance of soils with USDA-NRCS Erosion factors kt greater than or equal to 0.4) High □ Site slope is 5 to 1 or steeper ner 2 □ Construction is initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30). □ Owner/contractor received a Storm Water Notice of Violation within past two years □ Site results in one half acre or more of soil disturbance TI!!r i -Megium C2nstructiQn Threat A§sessment Criteria Medium □ All projects not meeting Tier 2 High Construction Threat Assessment Criteria Tier 1 -Medium lnsgection Threat Assessment Criteria □ Project is located within the Buena Vista or Agua Hedionda Lagoon watershed, within or directly adjacent to an environmentally sensitive area (ESA) or discharges directly to an ESA □ Soil at site is moderately to highly erosive (defined as having a predominance of soils with USDA-NRCS Erosion factors kt greater than or equal to 0.4) Medium □ Site slope is 5 to 1 or steeper Tier 1 □ Construction is initialed during the rainy season or will extend into the rainy season (Oct. 1 through April 30). □ Owner/contractor received a Storm Water Notice of Violation within past two years □ Site results in one half acre or more of soil disturbance Tier 1 -Low lns~ection Threat Assessment Criteria Low □ All projects not meeting Tier 1 Medium Construction Threat Assessment Criteria Exempt -Not Applicable -Exempt *The city engineer may authonze minor variances from the construction threat assessment cntena 1n specral circumstances where it can be shown that a lesser or higher amount of storm water compliance inspection is warranted in the opinion of the city engineer E-33 Page 1 of 1 REV 4/30/10 <.i'~A> '"-~ ;s;,~ ~· CITY OF CARLSBAD STORM WATER COMPLIANCE FORM TIER 1 CONSTRUCTION SWPPP E-29 STORM WATER COMPLIANCE CERTIFICATE ✓ My project is not in a category of permit types exempt from the Construction SWPPP requirements ✓ My project is not located inside or within 200 feet of an environmentally sensitive area with a significant potential for contributing pollutants to nearby receiving waters by way of storm water runoff or non-storm water discharge(s). ✓ My project does not require a grading plan pursuant to the Carlsbad Grading Ordinance (Chapter 15.16 of the Carlsbad Municipal Code) ✓ My project will not result in 2,500 square feet or more of soils disturbance including any associated construction staging, stockpiling, pavement removal, equipment storage, refueling and maintenance areas that meets one or more of the additional following criteria: • located within 200 feet of an environmentally sensitive area or the Pacific Ocean; and/or, • disturbed area is located on a slope with a grade at or exceeding 5 horizontal to 1 vertical; and/or • disturbed area is located along or within 30 feet of a storm drain inlet, an open drainage channel or watercourse; and/or • construction will be initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30). I CERTIFY TO THE BEST OF MY KNOWLEDGE THAT ALL OF THE ABOVE CHECKED STATEMENTS ARE TRUE AND CORRECT. I AM SUBMITTING FOR CITY APPROVAL A TIER 1 CONSTRUCTION SWPPP PREPARED IN ACCORDANCE WITH THE REQUIREMENTS OF CITY STANDARDS. I UNDERSTAND AND ACKNOWLEDGE THAT I MUST: (1) IMPLEMENT BEST MANAGEMENT PRACTICES (BMPS) DURING CONSTRUCTION ACTIVITIES TO THE MAXIMUM EXTENT PRACTICABLE TO MINIMIZE THE MOBILIZATION OF POLLUTANTS SUCH AS SEDIMENT AND TO MINIMIZE THE EXPOSURE OF STORM WATER TO CONSTRUCTION RELATED POLLUTANTS; AND, (2) ADHERE TO, ANO AT ALL TIMES, COMPLY WITH THIS CITY APPROVED TIER 1 CONSTRUCTION SWPPP THROUGHOUT THE DURATION OF THE CONSTRUCTION ACTIVITIES UNTIL THE CONSTRUCTION WORK IS COMPLETE AND APPROVED BY THE CITY OF CARLSBAD. ~'?-\4uJf P6L- OWNER(S)/OWNER'S AGENT NAME (PRINT) f,/)7// 1 ENT NAME (SIGNATURE) DATE E-29 STORM WATER POLLUTION PREVENTION NOTES 1. ALL NECESSARY EQUIPMENT AND MATERIALS SHALL BE AVAILABLE ON SITE TO FACILITATE RAPID INSTALLATION OF EROSION AND SEOIMENT CONTROL BMPS WHEN RAIN IS EMINENT. 2. THE OWNER/CONTRACTOR SHALL RESTORE ALL EROSION CONTROL DEVICES TO WORKING ORDER TO THE SATISFACTION OF THE CITY ENGINEER AFTER EACH RUN-OFF PRODUCING RAINFALL 3. THE OWNER/CONTRACTOR SHALL INSTALL ADDITIONAL EROSION CONTROL MEASURES AS MAY BE REQUIRED BY THE CITY ENGINEERING OR BUILDING INSPECTOR DUE TO UNCOMPLETED GRADING OPERATIONS OR UNFORESEEN CIRCUMSTANCES WHICH MAY ARISE. 4. ALL REMOVABLE PROTECTIVE DEVICES SHALL BE IN PLACE AT THE END OF EACH WORKING DAY WHEN THE FIVE (5) DAY RAIN PROBABILITY FORECAST EXCEEDS FORTY PERCENT (40%). SILT AND OTHER DEBRIS SHALL BE REMOVED AFTER EACH RAINFALL 5. ALL GRAVEL BAGS SHALL BE BURLAP TYPE WITH 3/4 INCH MINIMUM AGGREGATE. 6. ADEQUATE EROSION AND SEDIMENT CONTROL AND PERIMETER PROTECTION BEST MANAGEMENT PRACTICE MEASURES MUST BE INSTALLED AND MAINTAINED. SPECIAL NOTES Page 1 of 3 Development Services land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov PROJECT INFORMATION Site Address: j \,\<g;? %<,A)tij [qt,]) Assessor's Parcel Number: ______ _ Projec11DM It:) '21..p42 Construction Permit No.:'&A/ I S 03 l 4 Estimated Construction Start Date 9 -I ·· l S" Project Duration _ _._ __ Months Emergency Contact: Name 'L.4'?, fu.ttRL 24 hour Phone: 760 '('\ 5 S )l'.r6 Perceived T~reat to Storm Water Quality D Medium 61 Low If medium box is checked, must attach a site plan sheet showing proposed work area and location of proposed structural BMPs For City Use Only CITY OF CARLSBAD STANDARD TIER 1 SWPPP Approved By: Date ~-c}\.st• IS: REV 4/30/10 Erosion Control Tracking Non-Stonn Water Waste Management and Materials BMPs Sediment Control BMPs Control Management BMPs Pollution Control BMPs BMPs C C C E E "C 0 ~ ~ w "C w C 'ii C "' E C E "C * 0 C "' ., C E ., 2 2 li '6 -E C. w ., * :. "' -g _; "' :;; ]i ] C ·s "' "' C .!!! C. w C ~ :2 ~ ·c "' C" -~ ., ~ Best Management Practice .. C ., ., ~ "' ·a "E .5 C!J i w C ~ 0 E 0 J 0 0 w w w ., ~ (BMP) Description ➔ 0 u C E w "' ., .5 u~ 0 "C "iii 0 :. .!!! "' "' "C .!!! -,, wen ·e 8 ., -"' ., r~ a, C "C "' C C C □ ::, ~ I 0 B~ E "C >-0 ., :, 'ii :. □ 0 "' "' ~ 0 wb!! ., .!!! I!! , 0 .!!! □ C w ., □--w ., u .!!! "iii' "iii a: E ]l N 0 ~i .!!!-·a "E I!! w w E ~ "iii -:, .Q = en "' ·~ ! I ~1 "C .C C w C .Q u ~ 0 0 u. u :;; > ~5 "C :c ~ .!!! :!l ., u " --C. '6 w C .Q ., ·;;; ~ E u N C w ~ ., E 0 t3 cil .c .Q E U)~ ., se ., "' vs~ ~ "' ~ ~i ell 0 "' 0 C!J W □ 1ii u ii: C!J Cl) (/) a, u5 .E a, a, :. (/) ( Cl) :,: u CASQA Designation ➔ 3 "i' "' -"' ,-"1 "I ~ "i' 0 -~ ;i; :;; ~ "' j i ,-i "I i ti w w -er: U) ~ u ti w w w w w w ~ ~ w w w Cl) Cl) Cl) Cl) Cl) Cl) Cl) I-I-z z z z Construction Activity w Cl) Gradino/Soil Disturbance X Trenchina/Excavation -Stockailing Drillina/Borino Concrete/Asphalt Saw cuttina Concrete flatwork ,✓ Pavini:i Conduit/Pi,_ Installation C Stucco/Mortar Work ' Waste Disoosal ~ Stac. ing/Lav Down Area / Equipment Maintenance and Fuelino Hazardous Substance Use/Storai:ie Dewaterinn Site Access Across Dirt other rnstl: Instructions: Begin by reviewing the list of construction activities and checking the box to the left of any activity that Will occur during the proposed construction. Add any other activity descriptions in the blank activity description boxes provided for that purpose and place a check in the box immediately to the left of the added activity description. For each activity descrribed, pick one or more best management practices (BMPs) from the list located along the top of the fonn. Then place an X in the box at the place·where the activity raw intersects With the BMP column. Do this for each activity that was checked off and for each of the selected BMPs selected from the list. For Example -If the project includes site access across dirt, then check the box to the left of "Site Access Across Dirt". Then review the list for something that applies such as "Stabilized Construction Ingress/Egress" under Tracking Control. Follow along the "Site Access Across Dirt" row until you get to the "Stabilized Construction Ingress/Egress" column and place an X in the box where the tYJO meet. As another example say the project included a stockpile that you intend to cover With a plastic sheet. Since plastic sheeting is not on the list of BMPs, then write in "Cover with Plastic" in the blank column under the heading Erosion Control BMPs. Then place an X in the box where the "Stockpilingn row intersects the new "Cover With Plastic" column. To learn more about what each BMP description means, you may wish to review the BMP Reference Handout prepared to assist applicants in the selection of appropriate Best Management Practice measures. The reference also explains the California Stormwater Quality Association (CASQA) designation and how to apply the various selected BMPs to a project. E,29 Page 2 of 3 REV 4130/10 <_(~i ~ CITY Of CARLSBAD PLANNING DIVISION BUILDING PLAN CHECK APPROVAL P-29 Development Services Planning Division 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.eov DATE: 8/18/15 PROJECT NAME: PATIO COVER/SPA/FIRE PIT PROJECT ID: PLAN CHECK NO: CB152642 SET#: ADDRESS: 1480 REGARTTA RD APN: ~ This plan check review is complete and has been APPROVED by the PLANNING Division. By: GINA RUIZ A Final Inspection by the PLANNING Division is required □ Yes ~ No You may also have corrections from one or more of the divisions listed below. Approval from these divisions may be required prior to the issuance of a building permit. Resubmitted plans should include corrections from all divisions. D This plan check review is NOT COMPLETE. Items missing or incorrect are listed on the attached checklist. Please resubmit amended plans as required. Plan Check APPROVAL has been sent to: ZAK@KROEPEL.NET For questions or clarifications on the attached checklist please contact the following reviewer as marked: PLANNING ENGINEERING FIRE PREVENTION 760-602-4610 760-602-2750 760-602-4665 □ Chris Sexton □ Chris Glassen □ Greg Ryan 760-602-4624 760-602-2784 760-602-4663 Chris s~x1Q□@~51rls'2~ds;;g.gov CJ:i_ri$LQQner_,_Gln$~eo@~mJ~_Q~Q.c~-goy Gr_~goxy_,_Fb'.flll@CfillsQ_r;1Q<;;~,gpv ~ Gina Ruiz □ Val Ray Marshall □ Cindy Wong 760-602-4675 760-602-2741 760-602-4662 Gin~.Ryiz@t;~rlsbgd~a.ggv 'i<!JB.,w.Marshall~carlsbadca.gov Qynthia. Wong@ca rls_b_ll_QEa .gov □ □ Linda Ontiveros □ Dominic Fieri 760-602-2773 760-602-4664 Unda.Ontiveros~t::.flrlsbadca,.gQy Domin1c.Fieri@carlsbadca.gov Remarks: